NPI | 1275648131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 46559) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200300398) |
208D00000X General Practice (Licence: VA 30374) | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2025-03-17 |